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Impact of Prolonged Preoperative Fasting Time on Major Postoperative Complications in Cardiac Surgery: A Prospective Randomized Controlled Trial

Impact of Prolonged Preoperative Fasting Time on Major Postoperative Complications in Cardiac Surgery: A Prospective Randomized Controlled Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500109534
Enrollment
Unknown
Registered
2025-09-19
Start date
2025-10-17
Completion date
Unknown
Last updated
2025-12-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart valve disease/ Coronary disease

Interventions

Control group:Eating between 20:00 and 22:00 on the day before the operation, and fasting after 22:00
Experimental group:Eating between 12:00 and 14:00 on the day before the operation, and fasting after 14:00

Sponsors

Department of Anesthesiology, First Affiliated Hospital of Army Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Patients aged 18 years and above undergoing heart surgery primarily involving valve replacement/repair and/or coronary artery bypass under extracorporeal circulation at a scheduled time in the morning; 2. Patients who can eat normally by mouth; 3. ASA classification II to III; 4. Signed informed consent.

Exclusion criteria

Exclusion criteria: 1. Emergency surgery, deep hypothermic cardiopulmonary bypass surgery; 2. Time-limited fasting, use of medications such as Metformin and Semaglutide for weight loss; 3. Low body weight (BMI = 37.5 kg/m^2); 4. Acute infections treated with antibiotics; 5. Endocarditis, EF 21 umol/L (sub-center > upper limit of detection) or INR > 2.0]; 10. Heparin-induced type II thrombocytopenia; 11. Unable to communicate or enroll in other clinical studies.

Design outcomes

Primary

MeasureTime frame
Incidence of major complications after surgery in hospital;

Secondary

MeasureTime frame
The incidence of major complications and the incidence of single complications within 30 days after the surgery;The incidence of major complications and the incidence of single complications within 90 days after the surgery;time of mechanical ventilation, ICU stay and hospital stay;Incidence of new postoperative onset atrial fibrillation;Incidence of postoperative delirium;Incidence of postoperative infection rate;Perioperative vasoactivity-inotropic drug score;Laboratory indicators;

Countries

China

Contacts

Public ContactJiaolin Ning

Department of Anesthesiology, First Affiliated Hospital of Army Medical University

460439856@qq.com+86 158 0801 4085

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026